Individual
DR. TODD BAYNE FOUNTAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
UNR STUDENT HEALTH CTR, MAILSTOP 196, RENO, NV 89557-0001
(775) 784-6598
Mailing address
5335 CANYON VIEW CT, SPARKS, NV 89436-3631
(775) 626-2310
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5070
NV
Other
Enumeration date
04/17/2007
Last updated
07/08/2007
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